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  5. NORTH SHORE VASCULAR SURGERY P.C.

NORTH SHORE VASCULAR SURGERY P.C.

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Company Details

Name: NORTH SHORE VASCULAR SURGERY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Mar 2015 (10 years ago)
Entity Number: 4721360
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 620 Belle Terre Road, Suite 2, Port Jefferson, NY, United States, 11777

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
NORTH SHORE VASCULAR SURGERY PC DOS Process Agent 620 Belle Terre Road, Suite 2, Port Jefferson, NY, United States, 11777

Chief Executive Officer

Name Role Address
AHMAD BHATTI Chief Executive Officer 620 BELLE TERRE ROAD, SUITE 2, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1962889345
Certification Date:
2023-05-16
Link:
View on NPI website

Authorized Person:

Name:
DR. AHMAD F BHATTI
Role:
VASCULAR SURGEON / OWNER
Phone:
6318055956

Taxonomy:

Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
Yes

Contacts:

Phone:
+1 631-524-5960
Fax:
6315245963

Form 5500 Series

Employer Identification Number (EIN):
473400473
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:
6315245960
File:
View File
Plan Year:
2018
Number Of Participants:
6
Sponsors Telephone Number:
6315245960
File:
View File
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:
6315245960
File:
View File
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:
6315245960
File:
View File

History

Start date End date Type Value
2023-03-01 2023-05-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-01 2023-03-01 Address 620 BELLE TERRE ROAD, SUITE 2, PORT JEFFERSON, NY, 11777, USA (Type of address: Chief Executive Officer)
2015-03-06 2023-03-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2015-03-06 2023-03-01 Address 325 MIDLLE COUNTRY NROAD, SUITE 2, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230301001438 2023-03-01 BIENNIAL STATEMENT 2023-03-01
220506002118 2022-05-06 BIENNIAL STATEMENT 2021-03-01
150306000197 2015-03-06 CERTIFICATE OF INCORPORATION 2015-03-06

USAspending Awards / Financial Assistance

Date:
2021-11-12
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: DIRECT LOANS ACTIVITIES TO BE PERFORMED: PROVIDE LOANS TO BUSINESSES IMPACTED BY THE COVID-19 PANDEMIC FOR UNINSURED OR OTHERWISE UNCOMPENSATED ECONOMIC INJURY. DELIVERABLES: LOANS EXPECTED OUTCOMES: EXPECTED OUTCOMES: ENABLE BUSINESSES TO FUND POST-DISASTER ORDINARY AND NECESSARY OPERATING EXPENSES UNTIL NORMAL OPERATIONS RESUME INTENDED BENEFICIARIES: SURVIVORS OF DISASTER SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
2000000.00
Total Face Value Of Loan:
2000000.00
Date:
2020-04-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
125900.00
Total Face Value Of Loan:
125900.00
Date:
2015-05-06
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
350000.00
Total Face Value Of Loan:
350000.00
Date:
2015-05-06
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
200000.00
Total Face Value Of Loan:
200000.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$125,900
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$125,900
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$126,749.82
Servicing Lender:
Capital One, National Association
Use of Proceeds:
Payroll: $125,900
Jobs Reported:
6
Initial Approval Amount:
$121,548
Date Approved:
2021-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$121,548
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$122,203.01
Servicing Lender:
Capital One, National Association
Use of Proceeds:
Payroll: $121,548

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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